Buttock

Buttock augmentation or Brazilian buttock lift
Buttock augmentation, or gluteal augmentation, is used to improve the contour, size and/or shape of the buttocks. This is done through the use of buttock implants, fat grafting or sometimes a combination of the two. Aging, sun damage, pregnancy, significant fluctuations in weight and genetic factors may contribute to poor tissue elasticity that can result in sagging of the buttocks. In some patients, their genetic background makes them have poorly projected or flaccid buttock.
There are two surgeries for your butt:
Buttock augmentation with implant: more reliable results can be achieved; for those who want a big augmentation. The main disadvantage is that a foreign material is introduced in the body.
Fat injection, with fat taken from other locations of patient’s body: the results are not as dramatic as those obtained with the implant and a small part of the fat may be reabsorbed after some months. But advantages are: only natural material taken from the patient is used, more natural results are achieved and fat around the buttock is also aspirated, improving the contour around your butt.
Both techniques have advantages and disadvantages that will be discussed with you during the preoperative evaluation. In some cases, a combination of both techniques may be used.
All the described techniques have advantages and disadvantages that will be discussed with you during the preoperative evaluation.
Technical points
Each surgery will take 2H.
Can be performed under general anaesthesia or sedation and local anaesthesia and on outpatient or inpatient basis (1 night).
- Expect bruising after surgery
- Swelling possible up to 4-5 months
- Permanent results not seen until 6 months postoperatively
Postoperative care
Medication
- Acetaminophen or ibuprofen for routine pain control
- Prophylactic antibiotics (short course)
Compression garment
For 2 weeks, then at night for 2 weeks
Activity
- If fat graft, massage or manipulation of grafted area is minimized for at least 1 week to prevent graft migration.
- Return to professional activity after 7 days
- Heavy lifting after 4 to 6 weeks
Other recommendation
Ice/cold application within 24h
Complications and surgical risks
Risks with these surgeries are:
Implant
- Swelling
- Hematoma
- Seroma (fluid accumulation)
- Infection
- Wound healing complications
- Numbness or other changes in skin sensation
- Asymmetries
- Unfavourable scarring
- Implant rupture or capsular contracture
Fat graft
- Fat resorption
- Swelling
- Aesthetic deformity of the recipient or donor site
- Graft size fluctuation with weight changes
- Fat necrosis and formation of calcifications
- Fat emboli
- Lipoid meningitis
- Arterial occlusion